Judith Schoot Uiterkamp

Transcription

1 Judith Schoot Uiterkamp Zalongwa (TZ) ICT-Warehouse (ZW) Burundi 28.Apr-1.May evouching 1

2 Outline Intro to IICD evouching for Maternal healthcare in Zimbabwe Context Stakeholders AfyaPro (HMIS) BVR process Lessons learnt 2

3 Profile IICD improving people s livelihood with ICT4D In 13 countries in Africa & Latin America Sectorial focus Economic Development Education Health Water & Climate Resilience ICT4D project creation Capacity development Consultancy & Project Management Social Innovation Process 3

4 IICD presence in Health care 4

5 IICD in Health care Portfolio ehealth, mhealth & Telemedicine solutions Health Management Information Systems (HMIS) Result / Performance Based Finance (RBF/PBF) evoucher AeHS - an IICD trademark Pan-African venture with NPK Technologies and CSSC - Tanzania 5

6 African ehealth Solutions TM Vouching for Maternal Healthcare in Zimbabwe Country: Zimbabwe (450*400km) Focus group: lowest quintal* Area: Harare and Bulawayo area Health Management I.S. (HMIS) Result Based Finance (RBF/PBF) Benificiary Voucher System (BVR) * 20% of potenital mothers bottom of pyramid, aged between Zimbabwe 6 *

7 African ehealth Solutions TM Vouching for Maternal Healthcare in Zimbabwe Stakeholders Ministry of Labour & Social Services (MoLSS) Ministry of Health and Child Welfare (MoHCW) Municipalities - City Health Services (CHS) District Social Welfare Officers (DSWO) Comm. Health Extension Workers (CHEW) Voucher Processing Agency (VPA/BVR) Hospitals Health Centres Dispensaries Booking centres Worldbank Cordaid 7 *

8 From Vouchers to Vouching for Healthcare evouchers 8

9 Vouching for Maternal Healthcare AfyaPro covers Diagnose Treatment Combination and records all the necesarry data along the way for better desision making and more effective health care treatments and admin follow-up. 9

10 Vouching for Maternal Healthcare AfyaPro Health Information Management System * 10

11 Vouching for Maternal Healthcare AfyaPro Health Management Information System ehealth ecosystem = information brokerage 11

12 Vouching for Maternal Healthcare AfyaPro Reproductive & Child Health Care Supports the National standards for Reproduction and Child Health Care. including: family Planning Methods danger Indicators birth Methods birth complications family planning antenatal postnatal vaccination 12

13 Integral solution 13

14 Screenshots BVR 14

15 Screen shots AfyaPro - BVR 15

16 Healthcare RBF/BF Governmental reporting 1. Delivery register 13. Consent 25. Matern. PMCT dispens. reg. 2. Referral registers 14. RPR register 26. Post natal register 3. Emergency tray register 15. Management book/register 27. ZEPI register (vacc & vitam) 4. Inventory register 16. Dispensing register 28. Family planning services 5. T3, T5 17. Domiciliary register 29. Tally Sheet (T5) 6. T6-Immunisation 18. T12 under Patient book 7. VHW register 19. T12 above Suspect register 8. School health registers 20. ANC register 32. TB reports 9. HCC register 21. Growth monitoring 33. PMCT (HIV/AIDS, syph test.) 10. Feedback register 22. Chronic register (33 through 36) 11. Feedback book 23. Exposed infants f.up register 36. written in 4 copies for DMO 12. Laboratory register 24. Infant PCMT dispensing reg. Business case aspects of NOT having an HMIS system in place, T5 reporting If only it would require 2 mins ( ) for: a) retrieving the patient s file or data, b) filling out and/or inserting the right data, and c) to store the file properly again, this would require minutes per patient, during treatment cycle. For every 160 patients weekly another full time equivalent (person) then would be required. With an integrated repository of patient and other data (EPR) and a system supporting the workflow and data capturing (HMIS), the efforts would decrease drastically, for the benefit of the patient. Even more efficiency will be reached in retrieving, tallying, slicing & dicing and producing the required reporting. 16

17 Lessons learnt Complex to align all parties Requires local and intensive coordination and efforts SIP time Longer than foreseen, to support staff (4-15 weeks depending on number of people trained) Ownership software Don t allow parallel approaches Requirements Manage expectations and project deliverables Equipment (notebooks) Increased volume of data processing - need for adequate devices Very enthusiastic users at all levels Info sharing + learning is important 17

18 Thanks for your attention! Questions? evouching 18